Active NPI
Mohammed Swissa, PA-S
- Physician Assistant
- El Segundo, CA
National Provider Identifier
1396210969
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 57602
- Practice address
- 898 N Pacific Coast Hwy Ste 600
El Segundo, CA 90245-2747 - Phone
- (310) 379-2145
- NPI assigned
- Oct 9, 2018
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 57602 | CA | Primary |
Addresses
Primary practice location
898 N Pacific Coast Hwy Ste 600
El Segundo, CA 90245-2747
Mailing address
898 N Pacific Coast Hwy Ste 600
El Segundo, CA 90245-2747
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3615 E Imperial Hwy
Lynwood, CA 90262-2652
Phone (818) 856-9535
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
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- Emergency Medicine Physician
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- NPI 1235176702
-
- Emergency Medicine Physician
- West Hills, CA
- NPI 1275761249
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1539043200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1576281600000",
"number": "1396210969",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "898 N PACIFIC COAST HWY STE 600",
"city": "EL SEGUNDO",
"state": "CA",
"postal_code": "902452747"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "898 N PACIFIC COAST HWY STE 600",
"city": "EL SEGUNDO",
"state": "CA",
"postal_code": "902452747",
"telephone_number": "310-379-2145"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SWISSA",
"first_name": "MOHAMMED",
"credential": "PA-S",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-10-09",
"last_updated": "2019-12-14",
"certification_date": "2019-12-14",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CA",
"license": "57602",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in El Segundo, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.